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1* . NVOZCE FOR OVERSIGHT COSTS�.-e fin5loa <br /> Sehd Paygmut to: State water Resources Control Board <br /> Underground Storage Tank Local Oversight Program Bill Date <br /> 11/1 <br /> PO BOX 944212 <br /> Sacramento, CA 94244-2120 <br /> iwoca3 Agency: SAN JOAQUIN LOCAL HEALTH DIST. <br /> Site Location: <br /> SITE # 1098 <br /> PEGASUS GROUP VILLAGE WEST MARINA <br /> DWIGHT DAVIS 6649 EMBARCADERO DR <br /> 1840 SAN MIGUEL DR 100 STOCKTON, CA <br /> WALNUT CREEK, CA 94596 95219 <br /> Total previously billed: $ 1, 568.84 <br /> Payment (s) received as of 05/18/94 $ 1, 568.84 <br /> **New Charges - Billing Period:01/01/94 through 06/30/94 $ 1, 199 .22 <br /> FUND: F 'Dotal amount due: $ 1, 199.22 <br /> state mealth and safety Cade Sections 25297.1 and 25360 and Title 42 of the united States Code Section 6991b(h)(6) require recovery <br /> of costs associated with the local oversight program. When your site was put in the local oversight program, you received a <br /> Letter explaining that the state water Resources control Board (state Board) would btll you for Wbtic costs of cleanup oversight. <br /> chis bill includes site specific and program management charges. Site Specific charges direeiW relate to your site. E%ampler <br /> are sampling for soil and ground water contamination, site inspections, and reviewing report. and workplan. A description of <br /> activity codes follows the itemized charges. Program management includes other costs associated with program operation. Such costs <br /> eery include: space rental, office services and supplies, purchase of sampling equipment, trolning and the salary and benefits of <br /> suPIart perw<xalal 0.", VIrrienl +toff, aw.�cuwaHarri, p-ogram aupm-viaor). Program management charges are calculated at not more <br /> than 50 percent of site specific charges_ The exact rate is shown on the last page of your bill. <br /> It you received an invoice for a previous billing period, these charges are shown as -iGtat Previously Bitted'. Any payrxents- you <br /> mode "i the previous billing are shown as "Payment Received'_ The total of any unpaid previous balance plus new charges is <br /> shown as "Total Amount Due". <br /> See itemized lint of new charges on next page(s). <br /> FOR INFUIVIRTION CALL: LORI CASIAS (916) 227-4325 <br /> PAYMMT IS DUE IN 30 DAYS <br /> - - - - - - - - - - - - - -- -- - ---- - -- -- - - ---cut on this line- - -- - - - -- --- - - --- -- ---- - - - - . . . . <br /> Return this part with your check made payable to SWRCH. use the enclosed <br /> envelope and send to the address above. <br /> Local. Agency: SAN JOAQUIN LOCAL HEALTH DIST. Site #:_ 1098 <br /> Site Location: <br /> PEGASUS GROUP VILLAGE WEST MARINA <br /> DWIGHT DAVIS 6649 SHBARC:ADERU DR <br /> 1840 SAN MIGUEL DR 100 STOCKTON, CA <br /> WALNUT CREEK, CA 94596 95219 <br /> Total amount due: $ 1,199.22 <br /> Enter amount paid: $ -_ <br />